NPIMap

Individual provider Active NPI

Prajwol Raj Pant, MD

  • Nephrology Physician
  • Christiansburg, VA
National Provider Identifier
1447413984
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101258128 Issued in VA
Practice address
2900 Lamb Cir
Suite 190
Christiansburg, VA 24073-6344
Phone
(540) 633-5650
Fax
(540) 633-5659
NPI assigned
Jul 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125053471 IL
Internal Medicine Physician 207R00000X 4301100124 MI
Nephrology Physician 207RN0300X 0101258128 VA Primary

Addresses

Primary practice location

2900 Lamb Cir
Suite 190
Christiansburg, VA 24073-6344

Mailing address

2900 Lamb Cir
Suite 190
Christiansburg, VA 24073-6344
Phone (540) 633-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150803001080 VA Practitioner - Nephrology 1850555111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Geisel School of Medicine at Dartmouth, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Ridge Nephrology Associates PCGroup PAC ID 9032219878, 3 clinicians

Practice addresses (Care Compare)

2900 Lamb Cir
Suite 190
Christiansburg, VA 24073-6341
Phone (540) 633-5650

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as individual
Quality
62.73
Promoting interoperability
93
Improvement activities
40
Cost
71.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125053471ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Nephrology Associates PC CurrentSince Jun 1, 2015 Accepting new patients

Locations

901 Plantation Rd
Blacksburg, VA 24060
Phone (540) 951-0352

2900 Lamb Cir
Ste 190
Christiansburg, VA 24073
Phone (540) 633-3778

377 Boxwood Ln
Pearisburg, VA 24134
Phone (540) 921-1384

Interoperability endpoints

  • Direct secure messaging: prajwol.pant@direct.davitaphysiciansolutions.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1447413984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR",
            "address_2": "SUITE 190",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736344",
            "telephone_number": "540-633-5650",
            "fax_number": "540-633-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR",
            "address_2": "SUITE 190",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736344",
            "telephone_number": "540-633-5650",
            "fax_number": "540-633-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANT",
        "first_name": "PRAJWOL",
        "middle_name": "RAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125053471",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301100124",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101258128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.